| NPI | 1427562750 |
|---|---|
| Doing Business As | DBA BLUE RIDGE THERAPEUTIC WILDERNESS |
| Entity Type | Organization |
| Authorized Contact | VANESSA ALLEN Director Of Operations 706-212-2037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: GA 50017-RCC) |
| Enumeration Date | 2017-11-22 |
| Last Update Date | 2017-11-22 |